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Re: Is Sleep only main problem with Nardil? » chad_3

Posted by dlevine on October 6, 2002, at 22:03:55

In reply to Is Sleep only main problem with Nardil?, posted by chad_3 on October 5, 2002, at 14:43:55

> I never had sleep problem with Nardil monotherapy at high dose - but ....

It's interesting how people can react so differently to MAOIs--insomnia has been my most troublesome side effect by far and hypotension has never been a problem for me.

> I know that sometimes trazodone (I don't really recommend it) is used.

Why don't you recommend Trazadone? I've used Trazadone & Klonopin as a hypnotic every night for several years. I simply cannot sleep without taking some kind of hypnotic. I've tried everything: lowering my Nardil dose, taking it at different times in the day, exercise, etc., and nothing works. As it is, I only get 3-5 hours of broken sleep each night--and that is WITH my Klonopin & Trazadone!

> Ambien is often used.

I've considered Ambien. But how safe & effective is Ambien over the long-term?

Again, my biggest problem is staying--not falling--asleep.

> Klonopin I believe is excellent to try because if it works for you it may work very well without any undue negative effect.

Yup, Klonopin has been my old standby for use as a hypnotic.

> However I think the best solution is to avoid drugs to make you sleep unless unavoidable. If there anyway to keep yourself very alert during the day ... also good sleep habits ... well maybe nothing of great insight here ... but sometimes daytime sedation or napping can aggrevate insomnia ..

Unfortunately, it is unavoidable. In a perfect world I wouldn't have this terrible side-effect of insomnia, but I've tried all the "natural" alternatives and nothing works.

Thanks for all the info and suggestions.

-DL


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